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A Case for Diagnosis. Presented by Dr. Senear.
A man, aged 38, had a lesion on the right thigh, which had persisted for fifteen or twenty years. It began as a small patch in the right crural region following an injury which he received in a fall, and had spread gradually.On the right thigh, running from the lower portion of the crural region outward and upward toward Poupart's ligament, was a large patch in which the skin presented atrophy, pigmentation, some sclerosis and telangiectasia.
Dr. Harry R. Foerster: I would hesitate to make a diagnosis because of the localized process, but the picture presented is suggestive of poikiloderma atrophicans vasculare.Dr. Driver: If there is such a thing as localized poikiloderma, I think that diagnosis would fit.Dr. Stillians: I think the case belongs in that group. There are all variations between macular atrophy and poikiloderma.Dr. Senear
Senear FE. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1927;16(4):508–513. doi:10.1001/archderm.1927.02380040129014